Evidence map›Paper›PMID 41983520›Full record

SynthesisJournal of psychiatric and mental health nursing2026

Coping, Subjective Burden and Mental Health in Family Carers of Dependent Children and Adolescents: A Systematic Review With Meta-Analysis.

Juan Carlos Muñoz-Cruz, Catalina López-Martínez, Vasiliki Orgeta, Rafael Del-Pino-Casado

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of psychiatric and mental health nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Juan Carlos Muñoz-CruzDepartment of Nursing, Faculty of Health Sciences, University of Jaén, Jaén, Spain.ORCID https://orcid.org/0000-0002-2723-6035
Catalina López-MartínezDepartment of Nursing, Faculty of Health Sciences, University of Jaén, Jaén, Spain.ORCID https://orcid.org/0000-0003-1303-7593
Vasiliki OrgetaDivision of Psychiatry, Faculty of Brain Sciences, University College London, London, UK.ORCID https://orcid.org/0000-0001-8643-5061
Rafael Del-Pino-CasadoDepartment of Nursing, Faculty of Health Sciences, University of Jaén, Jaén, Spain.ORCID https://orcid.org/0000-0003-2263-2415

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCaring for dependent children and adolescents places a substantial emotional and psychological burden on families. Coping strategies may influence the mental health of family carers.

aimTo systematically review how coping strategies relate to subjective burden, anxiety, and depressive symptoms in family carers of dependent children and adolescents.

methodSystematic review and random-effects meta-analysis were performed, searching PubMed, PsycINFO, CINAHL, and LILACS (up to June 2025). Observational studies examining the association between coping strategies and subjective burden, anxiety, or depression in family members caring for dependent children aged under 18 were included. Study quality was assessed via sampling method, instrument reliability, and confounder control.

resultsThirty-eight studies (42 samples; 4548 participants) were included. Dysfunctional coping was consistently associated with more depressive symptoms, anxiety, and subjective burden. In contrast, functional coping was related to fewer depressive symptoms and subjective burden. Emotion-focused coping and its individual strategies were generally associated with less psychological distress. Problem-focused coping showed mixed results. DISCUSSION: Dysfunctional coping appears to represent a risk to carers' mental health, whereas functional coping-particularly emotion-focused strategies-might be protective. However, all studies were cross-sectional. IMPLICATIONS FOR PRACTICE: Assessing and encouraging adaptive strategies, especially those focused on emotion coping, could improve carers' mental health.

trial registrationInternational Prospective Register of Systematic Reviews: PROSPERO: CRD42024533044.

Indexed as

Adaptation, PsychologicalAnxietyCaregiversCost of IllnessDepressionFamilyAdolescentChildCoping SkillsHumansadolescentcaregiver burdencaregiverschildren with disabilitiescoping skillsmental healthmeta‐analysis

Identifiers

PMID41983520
PMCPMC13341041

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.